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Case Reports
Endoluminal recanalization in a patient with phlegmasia cerulea dolens using a multimodality approach.
- Albeir Mousa, Peter Henderson, Rajeev Dayal, Joshua Bernheim, K Craig Kent, and Peter L Faries.
- Department of Vascular Surgery, New York Presbyterian Hospital, Cornell University, Weill Medical School, New York, NY, USA.
- Vascular. 2005 Sep 1; 13 (5): 313-7.
AbstractPhlegmasia cerulea dolens, a rare complication of deep venous thrombosis, has traditionally been difficult to treat. The patient described in this report posed additional therapeutic challenges based on a history of heparin-induced thrombocytopenia. She presented with severe leg pain and swelling, and a venogram showed occlusion of both her inferior vena cava and right iliac vein. The use of a multimodality approach, both chemical and mechanical, was successful in removing the venous occlusion, thereby preventing further complications, such as circulatory shock, postphlebitic syndrome, and venous gangrene.
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